Bilingual Medicare Member Support Specialist

Workforce Opportunity Services; Huntington Beach (CA); Sur place; USD 33 000 - 36 000; Plein temps

Avantages offerts par ce poste

401(k)

Paid time off

Health insurance

Dental

Vision

Life insurance

Résumé du poste

Workforce Opportunity Services in Huntington Beach, CA is seeking a Member Experience Representative to support Medicare Advantage members. The role blends phone, email, and in-person interactions to explain benefits, answer questions, and guide members and caregivers through enrollment and claims processes.

The ideal candidate is bilingual (English and Vietnamese) with 1–2 years of call center or healthcare benefits experience, strong communication skills, and the ability to manage high call

Qualifications

• High school diploma or equivalent.
• 1–2 years of call center or related customer service experience.
• 1–2 years of Medicare benefits experience, including Medicare Advantage plans.
• Healthcare/insurance/pharmacy industry experience desirable.
• Ability to stay calm in charged situations.
• Data entry and general computer skills.
• Effective written and oral communication with a professional telephone manner.
• Ability to handle high call volume while delivering excellent service.

Responsabilités

• Provide excellent customer service.
• Explain benefits and plan options in person, by email or by phone to members, family, providers and caregivers.
• Follow up with members to clarify issues, determine causes, resolve issues and explain solutions.
• Escalate issues to management or other departments as needed.
• Meet or exceed quality, productivity and attendance standards.
• Respond promptly to members and providers via phone, email, and in-person interactions per policies and job aids.
• Take ownership of issues and work toward solutions.
• Increase member satisfaction by resolving issues and coordinating with providers.
• Participate in member calling projects such as retention efforts.
• Adhere to policies, procedures and job aids; report workflow improvements.
• Follow HIPAA and all regulatory requirements.
• Document interactions by completing member forms and summarizing actions.
• Collaborate with other departments as needed.
• Meet attendance and performance goals.
• Perform other duties as assigned.

Connaissances

Bilingual English-Vietnamese

Formation

High school diploma or equivalent

Outils

CRM software

Description du poste

Workforce Opportunity Services in Huntington Beach, CA is seeking a Member Experience Representative to support Medicare Advantage members. The role blends phone, email, and in-person interactions to explain benefits, answer questions, and guide members and caregivers through enrollment and claims processes.

The ideal candidate is bilingual (English and Vietnamese) with 1–2 years of call center or healthcare benefits experience, strong communication skills, and the ability to manage high call